Some important radiological findings in gastrointestinal surgery:
Bird's Beak deformity of lower
oesophagus - Achalsia cardia (Barium Swallow)
Rat tail tapering of lower
oesophagus - Carcinoma oesophagus (Barium Swallow)
Cork screw oesophagus - Diffuse oesophageal spasm (Barium Swallow)
Commonest radiological appearance of
gastric carcinoma (in barium meal
follow through) is - filling defect in
antrum / body of stomach
Trifoliate duodenum - Chronic duodenal ulcer with scarring (Barium
Meal)
Hour Glass stomach - Peptic ulcer Cup & Spill / Cascade stomach - Volvulus of stomach
Constriction of transverse duodenum - superior mesenteric artery syndrome
Bull's eye lesion (in barium meal) - Leiomyosarcoma
Single-bubble appearance - pyloric stenosis
Double-bubble sign - Duodenal atresia, duodenal stenosis, annular pancreas
Triple-bubble sign - Jejunal atresia
Coffee bean sign - Strangulation of incompletely obstructed loop of small
intestine
String of Beads - Small bowel obstruction
Coiled spring appearance - Intussusception Pincer-shaped ending in barium enema - Intussusception Bird of
Prey sign - Sigmoid volvulus
Moulage sign (flocculation of barium, with mucosal thickening) - seen in -
malabsorption syndrome
String sign of Cantor - Crohn's disease
Pipe-stem appearance (Loss of
Haustrations)- Ulcerative Colitis (Barium Enema)
Saw-tooth appearance and / or diverticula - Diverticular disease /
Diverticulosis (Barium Enema)
Scalloping of edge of sigmoid colon on barium enema - Ulcerative colitis
Napkin ring sign - Annular carcinoma of colon
Porcelain gall bladder - Carcinoma of gall bladder
Pad sign - Carcinoma pancreas (Barium Meal) ERCP
Scrambled-egg appearance - Carcinoma of pancreas
Chain of Lakes appearance - Chronic pancreatitis
Double duct sign - Carcinoma of pancreas PTC
Meniscus sign - Choledocholithiasis
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